Individual provider Active NPI

Robert Steven Bloome, D.O.

  • Hospitalist Physician
  • Winter Haven, FL
National Provider Identifier
1336207547
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS10772 Issued in FL
Practice address
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone
(863) 293-1121
Fax
(863) 292-4647
NPI assigned
Dec 4, 2006
Last updated
Aug 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS10772 FL Primary

Addresses

Primary practice location

200 Avenue F NE
Winter Haven, FL 33881-4131

Mailing address

PO Box 4707
Plant City, FL 33563-0030
Phone (863) 293-1121

Other identifiers 2

IdentifierTypeStateIssuer
51001927OtherALBLUE CROSS BLUE SHIELD
009939919MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050510000451 AL Practitioner - Family PracticePractitioner - Allergy/Immunology 3072553908 Reassigns benefits to 1 organization
I20100329000367 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 3072553908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
09370MSMDFamily Medicine Physician
OS10772FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vaughan Physician Practices LLC CurrentSince May 28, 2017 Accepting new patients
Advanced Care Hospitalists PL Hospitalist Current Accepting new patients
Vaughan Physician Practices, LLC CurrentSince May 28, 2017 Accepting new patients
HC Medical Group, Inc CurrentSince Oct 4, 2023 Accepting new patients
Hospital Medicine Associates LLC Hospitalist Past Accepting new patients
Total Family Health Care Center, LLC PastSince Aug 1, 2005 Accepting new patients
Hammock Inpatient Services Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
United Florala, Inc Past Accepting new patients
Chiropractic Center of McComb PastSince Aug 31, 2017 Accepting new patients

Locations

1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952

1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

910 Old Camp Rd
Ste 192
The Villages, FL 32162
Phone (352) 430-2720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1336207547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4707",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335630030",
            "telephone_number": "863-293-1121",
            "fax_number": "863-292-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121",
            "fax_number": "863-292-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOME",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS10772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51001927",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939919",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.